NPIMap

Organization Active NPI

Takes a Village for Change LLC

  • Community/Behavioral Health Agency
  • Essex, MD
National Provider Identifier
1316724040
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TAKES A VILLAGE FOR CHANGE LLC
Practice address
413 Eastern Blvd
Essex, MD 21221-6715
Phone
(410) 689-5057
NPI assigned
Sep 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Laura Shears Coates
Title
Owner
Phone
(410) 689-5057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

413 Eastern Blvd
Essex, MD 21221-6715

Mailing address

114 Ferndale Rd
Glen Burnie, MD 21061-2627
Phone (410) 689-5057

Other names 1

  • Takes A Village For Change LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Takes a Village for Change LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1316724040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FERNDALE RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612627",
            "telephone_number": "410-689-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "410-689-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKES A VILLAGE FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "SHEARS COATES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-689-5057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Takes A Village For Change LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.